{"id":103709,"date":"2021-08-31T00:00:00","date_gmt":"2021-08-31T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/xo-gan\/"},"modified":"2022-09-09T00:00:00","modified_gmt":"2022-09-09T00:00:00","slug":"xo-gan","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/gan-mat\/xo-gan\/","title":{"rendered":"X\u01a1 gan: Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"\n

X\u01a1 gan l\u00e0 b\u1ec7nh kh\u00e1 ph\u1ed5 bi\u1ebfn \u1edf n\u01b0\u1edbc ta c\u0169ng nh\u01b0 tr\u00ean th\u1ebf gi\u1edbi. Tr\u00ean th\u1ebf gi\u1edbi m\u1ed7i n\u0103m c\u00f3 h\u01a1n 20.000 ng\u01b0\u1eddi ch\u1ebft v\u00ec b\u1ec7nh gan m\u1ea1n t\u00ednh v\u00e0 x\u01a1 gan, \u0111\u00e2y c\u0169ng l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y t\u1eed vong x\u1ebfp h\u00e0ng th\u1ee9 10 \u0111\u1ed1i v\u1edbi \u0111\u00e0n \u00f4ng v\u00e0 th\u1ee9 12 \u0111\u1ed1i v\u1edbi ph\u1ee5 n\u1eef. B\u1ec7nh chi\u1ebfm t\u1edbi 3% t\u1ed5ng s\u1ed1 t\u1eed vong do b\u1ec7nh t\u1eadt h\u00e0ng n\u0103m t\u1ea1i Vi\u1ec7t Nam. H\u00e3y c\u00f9ng Docosan<\/strong><\/a> t\u00ecm hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 b\u1ec7nh l\u00fd n\u00e0y trong n\u1ed9i dung d\u01b0\u1edbi \u0111\u00e2y.<\/p>\n\n\n\n

X\u01a1 gan l\u00e0 g\u00ec?<\/h2>\n\n\n\n

X\u01a1 gan l\u00e0 m\u1ed9t b\u1ec7nh gan m\u1ea1n t\u00ednh c\u1ee7a gan trong \u0111\u00f3 \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 thay th\u1ebf m\u00f4 gan b\u1eb1ng m\u00f4 x\u01a1, s\u1eb9o v\u00e0 s\u1ef1 th\u00e0nh l\u1eadp c\u00e1c n\u1ed1t t\u00e2n sinh d\u1eabn \u0111\u1ebfn c\u1ea5u tr\u00fac gan b\u1ecb \u0111\u1ea3o l\u1ed9n, m\u1ea5t ch\u1ee9c n\u0103ng.<\/p>\n\n\n\n

\"\"\/<\/figure>\n\n\n\n

Nguy\u00ean nh\u00e2n g\u00e2y x\u01a1 gan<\/h2>\n\n\n\n

X\u01a1 gan l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a t\u1ed5n th\u01b0\u01a1ng gan trong m\u1ed9t th\u1eddi gian d\u00e0i, do nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau.<\/p>\n\n\n\n

  • Do virus vi\u00eam gan virus: B, C, D<\/li>
  • Do r\u01b0\u1ee3u<\/li>
  • Do \u1ee9 m\u1eadt k\u00e9o d\u00e0i: s\u1ecfi m\u1eadt, giun chui \u1ed1ng m\u1eadt, h\u1ed9i ch\u1ee9ng Hanot.<\/li>
  • Do \u1ee9 \u0111\u1ecdng m\u00e1u k\u00e9o d\u00e0i: suy tim( ng\u01b0\u1eddi b\u1ec7nh van tim, h\u1ed9i ch\u1ee9ng Pick), h\u1ed9i ch\u1ee9ng Budd Chiari, t\u1eafc t\u0129nh m\u1ea1ch gan..<\/li>
  • Do k\u00fd sinh v\u1eadt: s\u00e1n m\u00e1ng, s\u00e1n l\u00e1 gan<\/li>
  • Do nhi\u1ec5m \u0111\u1ed9c thu\u1ed1c v\u00e0 h\u00f3a ch\u1ea5t: DDT, methotrexat, aspirin, methyldopa..<\/li>
  • Do \u0111\u1ed9c ch\u1ea5t: Aflatoxin (l\u00e0 m\u1ed9t t\u00e1c nh\u00e2n quan tr\u1ecdng, do m\u1ed9t lo\u1ea1i n\u1ea5m t\u00ean g\u1ecdi l\u00e0 Aspergillus flavus t\u1ea1o ra, ch\u1ea5t n\u00e0y th\u01b0\u1eddng b\u1ecb nhi\u1ec5m trong th\u1ee9c \u0103n, \u0111\u1eb7c bi\u1ec7t l\u00e0 ng\u0169 c\u1ed1c \u0111\u1ec3 l\u00e2u ng\u00e0y. Vai tr\u00f2 c\u1ee7a aflatoxin \u0111\u1ed1i v\u1edbi gan ra sao th\u00ec hi\u1ec7n \u0111ang \u0111\u01b0\u1ee3c quan t\u00e2m nghi\u00ean c\u1ee9u, nh\u01b0ng ng\u01b0\u1eddi ta cho r\u1eb1ng \u0111\u00e2y c\u00f3 th\u1ec3 l\u00e0 t\u00e1c nh\u00e2n g\u00e2y x\u01a1 gan. ung th\u01b0 gan.)<\/li>
  • Do r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a: R\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a s\u1eaft, \u0111\u1ed3ng, porphyrin..<\/li>
  • Do r\u1ed1i lo\u1ea1n di truy\u1ec1n: B\u1ec7nh thi\u1ebfu h\u1ee5t alpha-1 antitripsin, b\u1ec7nh t\u00edch glycogen trong c\u00e1c b\u1ec7nh l\u00fd thi\u1ebfu m\u00e1u<\/li>
  • Do suy dinh d\u01b0\u1ee1ng <\/li>
  • T\u00ecnh tr\u1ea1ng gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u: qu\u00e1 tr\u00ecnh x\u01a1 h\u00f3a di\u1ec5n ra ch\u1eadm ch\u1ea1p, th\u01b0\u1eddng ph\u1ea3i sau 10-20 n\u0103m.<\/li>
  • M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p x\u01a1 gan kh\u00f4ng x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n<\/li><\/ul>\n\n\n\n

    C\u1ea7n l\u01b0u \u00fd r\u1eb1ng, ng\u01b0\u1eddi b\u1ecb x\u01a1 gan c\u00f3 th\u1ec3 do m\u1ed9t nguy\u00ean nh\u00e2n, nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 do nhi\u1ec1u nguy\u00ean nh\u00e2n c\u00f9ng ph\u1ed1i h\u1ee3p g\u00e2y t\u1ed5n th\u01b0\u01a1ng gan.<\/p>\n\n\n\n

    D\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng x\u01a1 gan<\/h2>\n\n\n\n

    B\u1ec7nh c\u1ea3nh l\u00e2m s\u00e0ng \u0111a d\u1ea1ng ph\u1ee5 thu\u1ed9c v\u00e0o nguy\u00ean nh\u00e2n v\u00e0 giai \u0111o\u1ea1n c\u1ee7a x\u01a1 gan:<\/p>\n\n\n\n

    C\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u1ea7u ti\u00ean ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a x\u01a1 gan bao g\u1ed3m:<\/p>\n\n\n\n

    • M\u1ec7t m\u1ecfi, gi\u1ea3m c\u00e2n, ch\u00e1n \u0103n<\/li>
    • C\u00f3 th\u1ec3 c\u00f3 c\u00e1c \u0111\u1ee3t ch\u1ea3y m\u00e1u m\u0169i hay c\u00e1c \u0111\u00e1m b\u1ea7m t\u00edm d\u01b0\u1edbi da<\/li>
    • Kh\u1ea3 n\u0103ng l\u00e0m vi\u1ec7c c\u0169ng nh\u01b0 ho\u1ea1t \u0111\u1ed9ng t\u00ecnh d\u1ee5c k\u00e9m<\/li>
    • C\u00f3 th\u1ec3 v\u00e0ng da ho\u1eb7c s\u1ea1m da<\/li>
    • Gi\u00e3n mao m\u1ea1ch d\u01b0\u1edbi da<\/li>
    • Gan to, \u0111au h\u1ea1 s\u01b0\u1eddn ph\u1ea3i<\/li><\/ul>\n\n\n\n

      Nh\u1eefng tri\u1ec7u ch\u1ee9ng c\u1ee7a x\u01a1 gan th\u1eddi k\u00ec cu\u1ed1i bao g\u1ed3m:<\/strong><\/p>\n\n\n\n

      • S\u1ee9c kh\u1ecfe sa s\u00fat \u0103n k\u00e9m<\/li>
      • Da v\u00e0 c\u1ee7ng m\u1ea1c m\u1eaft v\u00e0ng<\/li>
      • Xu\u1ea5t huy\u1ebft d\u01b0\u1edbi da, ch\u1ea3y m\u00e1u m\u0169i, ch\u1ea3y m\u00e1u ch\u00e2n r\u0103ng<\/li>
      • N\u01b0\u1edbc ti\u1ec3u v\u00e0ng \u0111\u1eadm;<\/li>
      • Thay \u0111\u1ed5i \u1edf m\u1ea1ch m\u00e1u \u1edf da v\u00e0 xung quanh r\u1ed1n (m\u1ea1ch m\u00e1u h\u00ecnh m\u1ea1ng nh\u1ec7n);<\/li>
      • Cho\u00e1ng v\u00e1ng v\u00e0 h\u00f4n m\u00ea;<\/li>
      • Ph\u00ecnh b\u1ee5ng do t\u00edch t\u1ee5 d\u1ecbch l\u1ecfng (c\u1ed5 tr\u01b0\u1edbng) v\u00e0 ph\u00f9 ch\u00e2n (ph\u00f9 n\u1ec1);<\/li>
      • L\u00e1 l\u00e1ch to.<\/li><\/ul>\n\n\n\n

        B\u1ec7nh x\u01a1 gan c\u00f3 nguy hi\u1ec3m kh\u00f4ng?<\/h2>\n\n\n\n

        B\u1ec7nh l\u00fd x\u01a1 gan r\u1ea5t nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m:<\/p>\n\n\n\n

        Xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a<\/strong><\/h3>\n\n\n\n

        Do t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1eeda: th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 do gi\u00e3n v\u1ee1 t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n, t\u0129nh m\u1ea1ch ph\u00ecnh v\u1ecb\u2026 \u0110\u00e2y l\u00e0 bi\u1ebfn ch\u1ee9ng n\u1eb7ng, c\u00f3 t\u1ef7 l\u1ec7 t\u1eed vong cao. T\u1ef7 l\u1ec7 xu\u1ea5t huy\u1ebft v\u00e0 t\u1eed vong ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 x\u01a1 gan.<\/p>\n\n\n\n

        X\u01a1 gan c\u1ed5 tr\u01b0\u1edbng<\/strong><\/h3>\n\n\n\n

        S\u1ef1 xu\u1ea5t hi\u1ec7n d\u1ecbch trong \u1ed5 b\u1ee5ng \u0111\u01b0\u1ee3c coi l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng th\u1ec3 hi\u1ec7n m\u1ed9t b\u01b0\u1edbc ngo\u1eb7t cho bi\u1ebft ti\u00ean l\u01b0\u1ee3ng kh\u00f4ng t\u1ed1t. \u0110\u00e2y l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a vi\u1ec7c t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1eeda, s\u1ef1 thay \u0111\u1ed5i d\u00f2ng m\u00e1u \u0111\u1ebfn c\u00e1c t\u1ea1ng, thay \u0111\u1ed5i huy\u1ebft \u0111\u1ed9ng, s\u1ef1 gi\u1eef mu\u1ed1i v\u00e0 n\u01b0\u1edbc c\u1ee7a th\u1eadn.<\/p>\n\n\n\n

        Nhi\u1ec5m tr\u00f9ng d\u1ecbch c\u1ed5 tr\u01b0\u1edbng<\/strong><\/h3>\n\n\n\n

        \u0110\u00e2y l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n x\u01a1 gan.<\/p>\n\n\n\n

        B\u1ec7nh n\u00e3o gan (hay c\u00f2n g\u1ecdi l\u00e0 h\u00f4n m\u00ea gan) <\/strong><\/h3>\n\n\n\n

        \u0110\u00e2y m\u1ed9t trong nh\u1eefng bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m nh\u1ea5t<\/strong> c\u1ee7a x\u01a1 gan giai \u0111o\u1ea1n cu\u1ed1i. Do gan l\u00fac n\u00e0y kh\u00f4ng th\u1ec3 \u0111\u00e0o th\u1ea3i \u0111\u01b0\u1ee3c c\u00e1c \u0111\u1ed9c t\u1ed1 n\u00ean l\u01b0\u1ee3ng \u0111\u1ed9c t\u1ed1 n\u00e0y s\u1ebd theo m\u00e1u l\u00ean n\u00e3o g\u00e2y t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n tri th\u1ee9c v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n nh\u01b0: kh\u00f4ng t\u1ec9nh t\u00e1o, ng\u1ee7 g\u00e0 ng\u1ee7 g\u1eadt, l\u01a1 m\u01a1 m\u1ea5t \u00fd th\u1ee9c, tay ch\u00e2n run r\u1ea9y\u2026<\/p>\n\n\n\n

        Ung th\u01b0 gan<\/strong><\/h3>\n\n\n\n

        Ng\u01b0\u1eddi m\u1eafc b\u1ec7nh x\u01a1 gan nguy c\u01a1 r\u1ea5t cao d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng ung th\u01b0 gan r\u1ed3i t\u1eed vong, x\u01a1 gan chi\u1ebfm 80% tr\u01b0\u1eddng h\u1ee3p ung th\u01b0 gan nguy\u00ean ph\u00e1t.<\/p>\n\n\n\n

        Ph\u00e1t hi\u1ec7n s\u1edbm b\u1ec7nh x\u01a1 gan \u1edf \u0111\u00e2u?<\/h2>\n\n\n\n
        • B\u1ec7nh vi\u1ec7n Qu\u1ed1c t\u1ebf City – Q. B\u00ecnh T\u00e2n <\/li><\/ul>\n\n\n\n